WEEK 2 END OF WEEK FORMATIVE

Question 1

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Answer 1

C - 57%

Question 2

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Answer 2

D - 40% of LGB suffer from mental health conditions 67% of transgender patients suffer from mental health conditions

Question 3

Do more bisexual men or bisexual women suffer from mental health conditions?

Answer 3

It si more common (63%) for bisexual women to suffer from a mental health condition than bisexual men (20%)

Question 4

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Answer 4

E - Up to day 25 of a regular 32 day cycle Copper IUD can only be given up to 5 days post UPSI or up to 5 days after earliest estimated start date of contraception - which in this case would have been day 18 of the regular cycle

Question 5

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Answer 5

B - When fitting a contraceptive implant (Nexplanon®) on day 5 of a regular 28 day cycle The quick start algorithim states that the contraception should be started within 7 days of the last menstrual period

Question 6

If the patients last menstrual period was greater than 7 days ago, and the patient has not had unprotected sex since the LMP, what can the patient be started on?

Answer 6

The patient can be started on quick start contraception and use a backup (barrier) method of contraception for 7 days

Question 7

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Answer 7

E - the posterior fornix of the vagina

Question 8

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Answer 8

B - axillary lymph nodes

Question 9

Where does the majority of the rest of the lymph from breast drain?

Answer 9

Majority of the other 25% drains to the parasternal lymph nodes Some lymph drains to the abdominal lymph nodes

Question 10

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Answer 10

E - subdermal implant

Question 11

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Answer 11

efficacy of COC, POP and implant are reduced by liver enzymes (presumably because they are metabolised) Copper IUD would also increase bleeding and worsen pain C - Intrauterine system (IUS)

Question 12

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Answer 12

C - Avoiding physical contact with people who do not have HIV HIV is transmitted through sex, blood to blood, mother to child transmission but not through physical contact

Question 13

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Answer 13

A - Poor adherence to medication is the single biggest contributer to HIV antiretroviral drug resistance.

Question 14

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Answer 14

E - Oral LNG should be given as a dose of 0.75mg and repeated after 12 hours LNG is given as a single dose 1.5mg

Question 15

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Answer 15

B - delayed msicarriage Have no idea as to why…

Question 16

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Answer 16

A - protects against ovarian cancer (up to 50%max over 15 year use) It increases risk of breast cancer and risk of cervical cancer if used for greater than 5 years It reduces the risk of endometrial cancer by 20-50%

Question 17

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Answer 17

E - progesterone only implant Sterilisation procedure would be difficult Also difficult to fit Mirena coil with fibroids COCP is contraindicated due to age and smoking hisotry

Question 18

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Answer 18

E - Mirena IUS NICE recommends Mirena as a the first choice. Surgery has high risks. TCRE does not provide contraception. COCP is contraindicated in a smoker with high BMI

Question 19

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Answer 19

B - BActerial vaginosis

Question 20

Why are the other answers unlikely in this case?

Answer 20

Candidiasis has creamy white disscharge with redness Trichomoniasis has a green/yellow dischagre and musty odour HPV presents with warts Genital herpes presents with sore ulcerated lesions Bacterial vaginosis is right - fishy odour and greyish discharge

Question 21

What would the wrong answers be given for?

Answer 21

A - Would be given for herpes B - This is the correct answer C - Would be given for HPV D - Would be given in bacterial vaginosis or trichomoniasis vaginalis E - would be given in combo with azithromycin for gonorrhea

Question 22

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Answer 22

D - performed at the time of abortion or childbirth

Question 23

What are other factors for regretting having sterilisation?

Answer 23

Young age <30 yr old Few or no children Not in a mutually faithful relationship or not in a relationship Coercion by partner or medical personnel

Question 24

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Answer 24

B - Failure rate of male sterilisation is in fact 1in2000 In most cases, vasectomy is more than 99% effective. Out of 2,000 men who are sterilised, one will get a woman pregnant during the rest of his lifetime.

Question 25

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Answer 25

E - If one pill is missed , there is a need for emergency contraception ,inspite of taking the pill as soon as possible.

Question 26

When can combined hormonal contraception be started if post partum? (breastfeeding and non breastfeeding) When should the CHC ideally be started after LMP?

Answer 26

If post partum and breastfeeding Need to wait at least 6 weeks UKMEC 1 at 6 months If post partum and no breastfeeding - can be started at 21 days - UKMEC 1 at 6 weeks The CHC should be started within 5 days after LMP ideally

Question 27

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Answer 27

C. For a patient who presents with a “clinical indicator illness” (eg seborrhoeic dermatitis), an HIV risk assessment should be undertaken to identify patients who should be recommended to have an HIV test

Question 28

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Answer 28

D A vulvovaginal swab for chlamydia/gonococcal PCR should be carried out A first pass urine in male is carried out for males

Question 29

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Answer 29

A - Primary

Question 30

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Answer 30

A - female sex All the options may increase the risk of gender based violence but female sex is the highest risk